Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1165
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dc.contributor.authorDuke, Maxine-
dc.contributor.authorBotti, Mari-
dc.contributor.authorLey, Lenore-
dc.date.accessioned2017-07-19T02:55:21Z-
dc.date.available2017-07-19T02:55:21Z-
dc.date.issued2017-06-
dc.identifier.citationEpworth Research Institute Research Week 2017; Poster 22: pp 46en_US
dc.identifier.urihttp://hdl.handle.net/11434/1165-
dc.description.abstractBACKGROUND: Older people are vulnerable to functional decline during episodes of acute medical care. Approximately one to two-thirds of older patients are reported to experience functional decline in hospital, which in turn, has been recognized as detrimental to their quality of life, and life expectancy. The purpose of this research was to explore and describe the quality of 24-hour care provided to minimize functional decline in older patients diagnosed with acute medical conditions. METHODS: A single institution case study design, with multi-methods and repeated measures was used. Functional status was measured using the Functional Autonomy Measurement System (SMAF). Two sub-scales of the SMAF: Activities of Daily Living (ADLs) and Mobility, were measured at three time points (2-weeks preadmission; on admission and Time 2; and at discharge). A sub-set of patients participated in 6-hour non-participant naturalistic observations on Day-two of admission. The researcher observed all consenting staff during their interactions with patients and maintained a continuous record of patient activities. RESULTS: A convenience sample of 65 vulnerable older patients aged 70 years and over (Mean age 82.4, SD 7 years) who were admitted to the General Medical Unit (GMU) of a tertiary-referral, metropolitan public hospital in Australia, from 2010 to 2011 were evaluated. Just over half (n = 37, 53.8%) of the patients' experienced functional decline between 2-weeks preadmission and discharge from hospital. Naturalistic observations of a sub-set of n = 41 patients revealed opportunities and barriers to the performance of ADLs and mobility. Nursing staff engaged in high frequency, low duration interactions with patients. Patients self-initiated most episodes of mobility and nurses were most often involved in assisting or supervising activity that was implicit to patients' ADLs. CONCLUSIONS: Integration of the findings demonstrated that older patients' unique vulnerabilities to functional decline were not emphasized in 24-hour care processes. There was a lack of coordination of care to protect and optimize patients' functional status.en_US
dc.subjectFunctional Declineen_US
dc.subjectOlder Patientsen_US
dc.subjectUnique Vulnerabilitiesen_US
dc.subject24-Hour Careen_US
dc.subjectAcute Medical Careen_US
dc.subjectAcute Medical Conditionsen_US
dc.subjectQuality Of Lifeen_US
dc.subjectLife Expectancyen_US
dc.subjectFunctional Statusen_US
dc.subjectFunctional Autonomy Measurement Systemen_US
dc.subjectSMAFen_US
dc.subjectActivities Of Daily Livingen_US
dc.subjectADLsen_US
dc.subjectMobilityen_US
dc.subjectGeneral Medical Uniten_US
dc.subjectGMUen_US
dc.subjectPreadmissionen_US
dc.subjectDischarge from Hospitalen_US
dc.subjectNaturalistic Observationsen_US
dc.subjectNursing Staffen_US
dc.subjectHigh Frequency, Low Duration Interactionsen_US
dc.subjectCentre for Quality and Patient Safety Research, Epworth HealthCare Partnershipen_US
dc.titleFunctional decline in hospitalised older people: quality of 24-hour care.en_US
dc.typeConference Posteren_US
dc.description.affiliatesDeakin University, Geelong. School of Nursing and Midwiferyen_US
dc.type.studyortrialObservational Studyen_US
dc.description.conferencenameEpworth Research Institute Research Week 2017en_US
dc.description.conferencelocationEpworth Research Institute, Victoria, Australiaen_US
dc.type.contenttypeTexten_US
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